Abstract
Fourteen patients with severe atopic dermatitis of long duration, requiring long term systemic corticosteroid therapy were managed with a treatment program designed to preserve the natural lipid surface film, avoid controllable stimuli to sweating, control skin infection, modify existing keratoderma and utilize active topical corticosteroid therapy in non-lipid vehicles. Substantial healing of the skin occurred in all cases even with discontinuance of systemic administration of steroids.
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